Of the common client problems listed below, the one taking priority for nursing assessment and
intervention is the client's
a. fear of the unknown.
b. future plans.
c. present level of pain.
d. reaction to the illness.
C
Pain is considered a physiological warning of tissue damage, and as such would take priority over
the other client problems listed. Pain management begins with assessment. Once the level of pain
has been assessed, appropriate intervention can occur. Intervention may be necessary before further
psychosocial assessment can take place.
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A nurse would instruct a client who experienced widespread first-degree sunburn to
a. apply a water-based emollient after bathing. b. avoid the use of aspirin or ibuprofen. c. soak in cold baths for 20 minutes at a time. d. use over-the-counter local anesthetics.
The school nurse is teaching an adolescent about social networking and texting on phones. What statement by the adolescent indicates a need for further teaching?
a. "Social networking can help me develop interpersonal skills." b. "I will have an opportunity to interact with people like myself." c. "My text messaging during class time in school will not cause any disruption." d. "I should be cautious, as the online environment can create opportunities for cyberbullying."
The _____ artery supplies the right atrium and ventricle with blood
a. right coronary b. left main coronary c. left circumflex d. left anterior descending
The nurse has assessed four newborns' respiratory rates immediately following birth. Which respiratory rate would require further assessment by the nurse?
1. 60 breaths per minute 2. 70 breaths per minute 3. 64 breaths per minute 4. 28 breaths per minute